In Reply We thank Dr Chee for the comments about our Viewpoint. Saliva testing may have reasonable clinical acceptance in certain situations. It should be noted that it remains a less accurate method, and therefore we would not recommend it for critical situations such as preoperative testing or to determine coronavirus disease 2019 (COVID-19) status during a hospital admission. However, saliva tests might be useful in estimating the rate of positivity in a population as in children and parents in certain school districts in the US. The nasopharyngeal swab test is actually not difficult to perform if proper education is provided and, for facilities opting for nasopharyngeal testing, the purpose of our Viewpoint was to highlight the proper anatomy.
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